P Praxis·MD
● Active Type 1 · Individual

Philip Resin Elackatt, RN

Registered Nurse·Boise, ID· NPI 1013753946 · Enumerated 2024 · 1 years on NPI
Elackatt is 1 of 3 registered nurse providers in Boise and 1 of 3 in Idaho.
NPI age
1 years
Enumerated 2024-07-01
Primary specialty
Registered Nurse
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3 active registered nurse providers in Idaho.

NPI age
1 years
↓ 2 yr below median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Practice location
500 W Fort St
Boise, ID 837024501
📞 9862561766
Mailing address
3307 Ivy Mill Ln
Missouri City, TX 774596525
📞 6307654384

Specialties

  • Registered Nurse Primary
    Definition to come...
    TX license #900887 taxonomy 163WP0000X

Practice context

Part of a multi-provider practice. 574 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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